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UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 401k Plan overview

Plan NameUFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND
Plan identification number 501

UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND
Employer identification number (EIN):010749311
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01
5012020-11-01
5012019-11-01
5012018-11-01
5012017-11-01
5012016-11-01SAM FERRAINO
5012015-11-01SAM FERRAINO
5012015-11-01
5012014-11-01SAM FERRAINO
5012013-11-01SAM FERRAINO
5012012-11-01SAM FERRAINO
5012011-11-01SAM FERRAINO
5012010-11-01SAM FERRAINO
5012009-11-01SAM FERRAINO
5012008-11-01

Plan Statistics for UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

401k plan membership statisitcs for UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Measure Date Value
2021: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-11-015,856
Total number of active participants reported on line 7a of the Form 55002021-11-015,561
Number of retired or separated participants receiving benefits2021-11-01342
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-015,903
Number of employers contributing to the scheme2021-11-0123
2020: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-11-016,665
Total number of active participants reported on line 7a of the Form 55002020-11-015,553
Number of retired or separated participants receiving benefits2020-11-01303
Number of other retired or separated participants entitled to future benefits2020-11-010
Total of all active and inactive participants2020-11-015,856
Number of employers contributing to the scheme2020-11-0125
2019: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-11-016,596
Total number of active participants reported on line 7a of the Form 55002019-11-016,357
Number of retired or separated participants receiving benefits2019-11-01308
Number of other retired or separated participants entitled to future benefits2019-11-010
Total of all active and inactive participants2019-11-016,665
Number of employers contributing to the scheme2019-11-0126
2018: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-11-016,885
Total number of active participants reported on line 7a of the Form 55002018-11-016,303
Number of retired or separated participants receiving benefits2018-11-01293
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-016,596
Number of employers contributing to the scheme2018-11-0126
2017: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-11-017,082
Total number of active participants reported on line 7a of the Form 55002017-11-016,613
Number of retired or separated participants receiving benefits2017-11-01272
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-016,885
Number of employers contributing to the scheme2017-11-0124
2016: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-11-017,257
Total number of active participants reported on line 7a of the Form 55002016-11-016,805
Number of retired or separated participants receiving benefits2016-11-01277
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-017,082
Number of employers contributing to the scheme2016-11-0124
2015: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-11-017,499
Total number of active participants reported on line 7a of the Form 55002015-11-016,998
Number of retired or separated participants receiving benefits2015-11-01259
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-017,257
Number of employers contributing to the scheme2015-11-0125
2014: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-11-016,906
Total number of active participants reported on line 7a of the Form 55002014-11-017,184
Number of retired or separated participants receiving benefits2014-11-01315
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-017,499
2013: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-11-016,351
Total number of active participants reported on line 7a of the Form 55002013-11-016,683
Number of retired or separated participants receiving benefits2013-11-01223
Total of all active and inactive participants2013-11-016,906
2012: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-11-016,370
Total number of active participants reported on line 7a of the Form 55002012-11-016,141
Number of retired or separated participants receiving benefits2012-11-01210
Total of all active and inactive participants2012-11-016,351
2011: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-11-016,210
Total number of active participants reported on line 7a of the Form 55002011-11-016,182
Number of retired or separated participants receiving benefits2011-11-01188
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-016,370
Number of employers contributing to the scheme2011-11-0114
2010: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-11-016,166
Total number of active participants reported on line 7a of the Form 55002010-11-016,018
Number of retired or separated participants receiving benefits2010-11-01192
Total of all active and inactive participants2010-11-016,210
Number of employers contributing to the scheme2010-11-0125
2009: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-11-016,006
Total number of active participants reported on line 7a of the Form 55002009-11-015,974
Number of retired or separated participants receiving benefits2009-11-01192
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-016,166

Financial Data on UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

Measure Date Value
2022 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$7,240,877
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$10,029,094
Total income from all sources (including contributions)2022-10-31$45,702,034
Total of all expenses incurred2022-10-31$41,176,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-31$36,266,358
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-31$45,363,230
Value of total assets at end of year2022-10-31$45,983,131
Value of total assets at beginning of year2022-10-31$44,246,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-31$4,910,356
Total interest from all sources2022-10-31$130,681
Total dividends received (eg from common stock, registered investment company shares)2022-10-31$164,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-10-31$164,706
Administrative expenses professional fees incurred2022-10-31$117,413
Was this plan covered by a fidelity bond2022-10-31Yes
Value of fidelity bond cover2022-10-31$500,000
If this is an individual account plan, was there a blackout period2022-10-31No
Were there any nonexempt tranactions with any party-in-interest2022-10-31No
Contributions received from participants2022-10-31$110,688
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-10-31$563,431
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-10-31$1,999,814
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-10-31$2,250,261
Other income not declared elsewhere2022-10-31$43,417
Administrative expenses (other) incurred2022-10-31$201,581
Liabilities. Value of operating payables at end of year2022-10-31$268,588
Liabilities. Value of operating payables at beginning of year2022-10-31$94,994
Total non interest bearing cash at end of year2022-10-31$22,123,526
Total non interest bearing cash at beginning of year2022-10-31$20,083,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Value of net income/loss2022-10-31$4,525,320
Value of net assets at end of year (total assets less liabilities)2022-10-31$38,742,254
Value of net assets at beginning of year (total assets less liabilities)2022-10-31$34,216,934
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-31No
Were any leases to which the plan was party in default or uncollectible2022-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-10-31$18,002,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-10-31$17,837,524
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-10-31$130,681
Expenses. Payments to insurance carriers foe the provision of benefits2022-10-31$35,480,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-31No
Was there a failure to transmit to the plan any participant contributions2022-10-31No
Has the plan failed to provide any benefit when due under the plan2022-10-31No
Contributions received in cash from employer2022-10-31$45,252,542
Employer contributions (assets) at end of year2022-10-31$3,857,560
Employer contributions (assets) at beginning of year2022-10-31$4,074,358
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-10-31$222,020
Contract administrator fees2022-10-31$4,591,362
Liabilities. Value of benefit claims payable at end of year2022-10-31$6,972,289
Liabilities. Value of benefit claims payable at beginning of year2022-10-31$9,934,100
Did the plan have assets held for investment2022-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-31No
Opinion of an independent qualified public accountant for this plan2022-10-31Unqualified
Accountancy firm name2022-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2022-10-31222212404
2021 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$10,029,094
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$8,508,575
Total income from all sources (including contributions)2021-10-31$47,301,104
Total of all expenses incurred2021-10-31$44,547,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$39,652,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$47,293,675
Value of total assets at end of year2021-10-31$44,246,028
Value of total assets at beginning of year2021-10-31$39,971,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$4,894,991
Total interest from all sources2021-10-31$3,581
Total dividends received (eg from common stock, registered investment company shares)2021-10-31$3,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-10-31$3,848
Administrative expenses professional fees incurred2021-10-31$60,396
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$500,000
If this is an individual account plan, was there a blackout period2021-10-31No
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$104,109
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-10-31$583,308
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-10-31$2,250,261
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-10-31$1,803,610
Administrative expenses (other) incurred2021-10-31$210,492
Liabilities. Value of operating payables at end of year2021-10-31$94,994
Liabilities. Value of operating payables at beginning of year2021-10-31$82,902
Total non interest bearing cash at end of year2021-10-31$20,083,885
Total non interest bearing cash at beginning of year2021-10-31$16,050,448
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$2,753,836
Value of net assets at end of year (total assets less liabilities)2021-10-31$34,216,934
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$31,463,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-10-31$17,837,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-10-31$17,833,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-10-31$3,581
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$38,869,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$47,189,566
Employer contributions (assets) at end of year2021-10-31$4,074,358
Employer contributions (assets) at beginning of year2021-10-31$4,283,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$199,080
Contract administrator fees2021-10-31$4,624,103
Liabilities. Value of benefit claims payable at end of year2021-10-31$9,934,100
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$8,425,673
Did the plan have assets held for investment2021-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2021-10-31222212404
2020 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$8,508,575
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$8,595,600
Total income from all sources (including contributions)2020-10-31$48,594,820
Total of all expenses incurred2020-10-31$41,277,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$36,410,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$48,442,232
Value of total assets at end of year2020-10-31$39,971,673
Value of total assets at beginning of year2020-10-31$32,741,384
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$4,866,833
Total interest from all sources2020-10-31$41,243
Total dividends received (eg from common stock, registered investment company shares)2020-10-31$111,345
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-10-31$111,345
Administrative expenses professional fees incurred2020-10-31$84,094
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$500,000
If this is an individual account plan, was there a blackout period2020-10-31No
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$79,541
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-10-31$679,549
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-10-31$1,803,610
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-10-31$1,884,553
Administrative expenses (other) incurred2020-10-31$185,093
Liabilities. Value of operating payables at end of year2020-10-31$82,902
Liabilities. Value of operating payables at beginning of year2020-10-31$83,236
Total non interest bearing cash at end of year2020-10-31$16,050,448
Total non interest bearing cash at beginning of year2020-10-31$8,808,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$7,317,314
Value of net assets at end of year (total assets less liabilities)2020-10-31$31,463,098
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$24,145,784
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-10-31$17,833,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-10-31$17,722,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-10-31$17,722,332
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-10-31$41,243
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$35,589,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31Yes
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$48,362,691
Employer contributions (assets) at end of year2020-10-31$4,283,939
Employer contributions (assets) at beginning of year2020-10-31$4,326,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$141,341
Contract administrator fees2020-10-31$4,597,646
Liabilities. Value of benefit claims payable at end of year2020-10-31$8,425,673
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$8,512,364
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-10-31$335
Did the plan have assets held for investment2020-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-10-31No
Opinion of an independent qualified public accountant for this plan2020-10-31Unqualified
Accountancy firm name2020-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2020-10-31222212404
2019 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$8,595,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$9,716,907
Total income from all sources (including contributions)2019-10-31$48,497,754
Total of all expenses incurred2019-10-31$43,575,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$38,633,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$48,237,184
Value of total assets at end of year2019-10-31$32,741,384
Value of total assets at beginning of year2019-10-31$28,940,208
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$4,941,835
Total interest from all sources2019-10-31$260,570
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Administrative expenses professional fees incurred2019-10-31$204,999
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$500,000
If this is an individual account plan, was there a blackout period2019-10-31No
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$101,317
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-31$435,352
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-31$1,884,553
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-31$2,053,987
Administrative expenses (other) incurred2019-10-31$183,776
Liabilities. Value of operating payables at end of year2019-10-31$83,236
Liabilities. Value of operating payables at beginning of year2019-10-31$64,264
Total non interest bearing cash at end of year2019-10-31$8,808,042
Total non interest bearing cash at beginning of year2019-10-31$3,398,255
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$4,922,483
Value of net assets at end of year (total assets less liabilities)2019-10-31$24,145,784
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$19,223,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-10-31$17,722,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-10-31$18,976,877
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-10-31$18,976,877
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-10-31$260,570
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$38,030,591
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31Yes
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Contributions received in cash from employer2019-10-31$48,135,867
Employer contributions (assets) at end of year2019-10-31$4,326,122
Employer contributions (assets) at beginning of year2019-10-31$4,510,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$167,493
Contract administrator fees2019-10-31$4,553,060
Liabilities. Value of benefit claims payable at end of year2019-10-31$8,512,364
Liabilities. Value of benefit claims payable at beginning of year2019-10-31$9,652,643
Assets. Value of buildings and other operty used in plan operation at end of year2019-10-31$335
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-10-31$837
Did the plan have assets held for investment2019-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2019-10-31222212404
2018 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$9,716,907
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$8,368,954
Total income from all sources (including contributions)2018-10-31$48,250,746
Total of all expenses incurred2018-10-31$44,302,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$39,445,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$48,200,146
Value of total assets at end of year2018-10-31$28,940,208
Value of total assets at beginning of year2018-10-31$23,644,327
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$4,856,839
Total interest from all sources2018-10-31$50,600
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Administrative expenses professional fees incurred2018-10-31$100,600
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$500,000
If this is an individual account plan, was there a blackout period2018-10-31No
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$94,087
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-10-31$482,785
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$2,053,987
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-10-31$1,729,876
Administrative expenses (other) incurred2018-10-31$204,148
Liabilities. Value of operating payables at end of year2018-10-31$64,264
Liabilities. Value of operating payables at beginning of year2018-10-31$152,474
Total non interest bearing cash at end of year2018-10-31$3,398,255
Total non interest bearing cash at beginning of year2018-10-31$1,133,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$3,947,928
Value of net assets at end of year (total assets less liabilities)2018-10-31$19,223,301
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$15,275,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$18,976,877
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$15,895,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$15,895,004
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-10-31$50,600
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$38,752,981
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$48,106,059
Employer contributions (assets) at end of year2018-10-31$4,510,252
Employer contributions (assets) at beginning of year2018-10-31$4,884,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$210,213
Contract administrator fees2018-10-31$4,552,091
Liabilities. Value of benefit claims payable at end of year2018-10-31$9,652,643
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$8,216,480
Assets. Value of buildings and other operty used in plan operation at end of year2018-10-31$837
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-10-31$1,340
Did the plan have assets held for investment2018-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2018-10-31222212404
2017 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$8,368,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$9,058,209
Total income from all sources (including contributions)2017-10-31$48,815,791
Total of all expenses incurred2017-10-31$45,403,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$40,435,918
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$48,776,165
Value of total assets at end of year2017-10-31$23,644,327
Value of total assets at beginning of year2017-10-31$20,921,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$4,967,751
Total interest from all sources2017-10-31$39,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Administrative expenses professional fees incurred2017-10-31$166,927
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$500,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$87,989
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-10-31$937,662
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-31$1,729,876
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-31$1,545,049
Administrative expenses (other) incurred2017-10-31$230,963
Liabilities. Value of operating payables at end of year2017-10-31$152,474
Liabilities. Value of operating payables at beginning of year2017-10-31$269,574
Total non interest bearing cash at end of year2017-10-31$1,133,614
Total non interest bearing cash at beginning of year2017-10-31$6,470,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$3,412,122
Value of net assets at end of year (total assets less liabilities)2017-10-31$15,275,373
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$11,863,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$15,895,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$8,535,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$8,535,547
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-10-31$39,626
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$39,308,214
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$48,688,176
Employer contributions (assets) at end of year2017-10-31$4,884,493
Employer contributions (assets) at beginning of year2017-10-31$4,360,985
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$190,042
Contract administrator fees2017-10-31$4,569,861
Liabilities. Value of benefit claims payable at end of year2017-10-31$8,216,480
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$8,788,635
Assets. Value of buildings and other operty used in plan operation at end of year2017-10-31$1,340
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-10-31$9,342
Did the plan have assets held for investment2017-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2017-10-31222212404
2016 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$9,058,209
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$6,571,766
Total income from all sources (including contributions)2016-10-31$49,190,145
Total of all expenses incurred2016-10-31$45,538,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$40,427,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$49,167,227
Value of total assets at end of year2016-10-31$20,921,460
Value of total assets at beginning of year2016-10-31$14,783,380
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$5,111,028
Total interest from all sources2016-10-31$22,918
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Administrative expenses professional fees incurred2016-10-31$220,939
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$500,000
If this is an individual account plan, was there a blackout period2016-10-31No
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$110,805
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-10-31$834,741
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-31$1,545,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-31$1,787,561
Administrative expenses (other) incurred2016-10-31$500,626
Liabilities. Value of operating payables at end of year2016-10-31$269,574
Liabilities. Value of operating payables at beginning of year2016-10-31$381,501
Total non interest bearing cash at end of year2016-10-31$6,470,537
Total non interest bearing cash at beginning of year2016-10-31$2,732,977
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$3,651,637
Value of net assets at end of year (total assets less liabilities)2016-10-31$11,863,251
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$8,211,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$8,535,547
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$6,012,783
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$6,012,783
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-10-31$22,918
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$39,318,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$49,056,422
Employer contributions (assets) at end of year2016-10-31$4,360,985
Employer contributions (assets) at beginning of year2016-10-31$4,195,154
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$274,167
Contract administrator fees2016-10-31$4,389,463
Liabilities. Value of benefit claims payable at end of year2016-10-31$8,788,635
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$6,190,265
Assets. Value of buildings and other operty used in plan operation at end of year2016-10-31$9,342
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-10-31$54,905
Did the plan have assets held for investment2016-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2016-10-31222212404
2015 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$6,571,766
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$7,489,645
Total income from all sources (including contributions)2015-10-31$48,201,041
Total of all expenses incurred2015-10-31$42,681,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$37,710,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$48,192,670
Value of total assets at end of year2015-10-31$14,783,380
Value of total assets at beginning of year2015-10-31$10,181,530
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$4,970,563
Total interest from all sources2015-10-31$8,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Administrative expenses professional fees incurred2015-10-31$162,381
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$500,000
If this is an individual account plan, was there a blackout period2015-10-31No
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$88,604
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-10-31$692,606
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-10-31$1,787,561
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-10-31$1,424,628
Administrative expenses (other) incurred2015-10-31$493,523
Liabilities. Value of operating payables at end of year2015-10-31$381,501
Liabilities. Value of operating payables at beginning of year2015-10-31$496,415
Total non interest bearing cash at end of year2015-10-31$2,732,977
Total non interest bearing cash at beginning of year2015-10-31$2,624,643
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$5,519,729
Value of net assets at end of year (total assets less liabilities)2015-10-31$8,211,614
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$2,691,885
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Interest earned on other investments2015-10-31$795
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$6,012,783
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$1,955,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$1,955,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-10-31$7,576
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$36,739,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$48,104,066
Employer contributions (assets) at end of year2015-10-31$4,195,154
Employer contributions (assets) at beginning of year2015-10-31$4,071,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$278,843
Contract administrator fees2015-10-31$4,314,659
Liabilities. Value of benefit claims payable at end of year2015-10-31$6,190,265
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$6,993,230
Assets. Value of buildings and other operty used in plan operation at end of year2015-10-31$54,905
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-10-31$105,825
Did the plan have assets held for investment2015-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2015-10-31222212404
2014 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$7,489,645
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$6,358,904
Total income from all sources (including contributions)2014-10-31$45,606,600
Total of all expenses incurred2014-10-31$45,209,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$40,730,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$45,574,720
Value of total assets at end of year2014-10-31$10,181,530
Value of total assets at beginning of year2014-10-31$8,654,075
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$4,479,720
Total interest from all sources2014-10-31$3,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$72,362
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$500,000
If this is an individual account plan, was there a blackout period2014-10-31No
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$82,496
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$666,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$1,424,628
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$1,240,141
Other income not declared elsewhere2014-10-31$27,973
Administrative expenses (other) incurred2014-10-31$651,062
Liabilities. Value of operating payables at end of year2014-10-31$496,415
Liabilities. Value of operating payables at beginning of year2014-10-31$110,407
Total non interest bearing cash at end of year2014-10-31$2,624,643
Total non interest bearing cash at beginning of year2014-10-31$1,470,505
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$396,714
Value of net assets at end of year (total assets less liabilities)2014-10-31$2,691,885
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$2,295,171
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$1,955,275
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$1,952,254
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$1,952,254
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$3,907
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$39,827,578
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$45,492,224
Employer contributions (assets) at end of year2014-10-31$4,071,159
Employer contributions (assets) at beginning of year2014-10-31$3,830,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$235,672
Contract administrator fees2014-10-31$3,756,296
Liabilities. Value of benefit claims payable at end of year2014-10-31$6,993,230
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$6,248,497
Assets. Value of buildings and other operty used in plan operation at end of year2014-10-31$105,825
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-10-31$160,242
Did the plan have assets held for investment2014-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31BARATZ & ASSOCIATES, P.A.
Accountancy firm EIN2014-10-31222212404
2013 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$6,358,904
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$9,391,609
Total income from all sources (including contributions)2013-10-31$41,625,868
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$42,969,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$39,217,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$41,597,745
Value of total assets at end of year2013-10-31$8,654,075
Value of total assets at beginning of year2013-10-31$13,030,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$3,751,888
Total interest from all sources2013-10-31$10,419
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Administrative expenses professional fees incurred2013-10-31$109,864
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$186,371
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$720,568
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$1,240,141
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$1,724,857
Other income not declared elsewhere2013-10-31$17,704
Administrative expenses (other) incurred2013-10-31$236,983
Liabilities. Value of operating payables at end of year2013-10-31$110,407
Liabilities. Value of operating payables at beginning of year2013-10-31$110,045
Total non interest bearing cash at end of year2013-10-31$1,470,505
Total non interest bearing cash at beginning of year2013-10-31$2,872,238
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$-1,343,988
Value of net assets at end of year (total assets less liabilities)2013-10-31$2,295,171
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$3,639,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$1,952,254
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$4,747,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$4,747,938
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-10-31$10,419
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$38,319,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$41,411,374
Employer contributions (assets) at end of year2013-10-31$3,830,933
Employer contributions (assets) at beginning of year2013-10-31$3,470,601
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$177,659
Contract administrator fees2013-10-31$3,405,041
Liabilities. Value of benefit claims payable at end of year2013-10-31$6,248,497
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$9,281,564
Assets. Value of buildings and other operty used in plan operation at end of year2013-10-31$160,242
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-10-31$215,134
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31BARATZ & ASSOCIATES P.A.
Accountancy firm EIN2013-10-31222212404
2012 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$9,391,609
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$6,274,935
Total income from all sources (including contributions)2012-10-31$37,873,486
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$42,125,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$38,592,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$37,847,865
Value of total assets at end of year2012-10-31$13,030,768
Value of total assets at beginning of year2012-10-31$14,165,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$3,532,599
Total interest from all sources2012-10-31$20,509
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$109,067
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$191,540
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-10-31$671,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$1,724,857
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$1,618,945
Other income not declared elsewhere2012-10-31$5,112
Administrative expenses (other) incurred2012-10-31$187,799
Liabilities. Value of operating payables at end of year2012-10-31$110,045
Liabilities. Value of operating payables at beginning of year2012-10-31$207,116
Total non interest bearing cash at end of year2012-10-31$2,872,238
Total non interest bearing cash at beginning of year2012-10-31$2,867,450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$-4,251,579
Value of net assets at end of year (total assets less liabilities)2012-10-31$3,639,159
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$7,890,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Interest earned on other investments2012-10-31$2,880
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$4,747,938
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$6,240,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$6,240,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$17,629
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$37,649,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$37,656,325
Employer contributions (assets) at end of year2012-10-31$3,470,601
Employer contributions (assets) at beginning of year2012-10-31$3,221,466
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$271,866
Contract administrator fees2012-10-31$3,235,733
Liabilities. Value of benefit claims payable at end of year2012-10-31$9,281,564
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$6,067,819
Assets. Value of buildings and other operty used in plan operation at end of year2012-10-31$215,134
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-10-31$217,526
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2012-10-31210738076
2011 : UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$6,274,935
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$7,429,162
Total income from all sources (including contributions)2011-10-31$35,650,399
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$34,695,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$31,407,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$35,602,805
Value of total assets at end of year2011-10-31$14,165,673
Value of total assets at beginning of year2011-10-31$14,364,919
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$3,288,301
Total interest from all sources2011-10-31$35,657
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Administrative expenses professional fees incurred2011-10-31$109,937
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Income. Received or receivable in cash from other sources (including rollovers)2011-10-31$127,988
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$634,681
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$1,618,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$2,092,726
Administrative expenses (other) incurred2011-10-31$143,684
Liabilities. Value of operating payables at end of year2011-10-31$207,116
Liabilities. Value of operating payables at beginning of year2011-10-31$106,257
Total non interest bearing cash at end of year2011-10-31$2,867,450
Total non interest bearing cash at beginning of year2011-10-31$2,064,820
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$954,981
Value of net assets at end of year (total assets less liabilities)2011-10-31$7,890,738
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$6,935,757
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Interest earned on other investments2011-10-31$11,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$6,240,286
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$6,927,349
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$6,927,349
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$24,261
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$30,539,107
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-10-31$11,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$35,474,817
Employer contributions (assets) at end of year2011-10-31$3,221,466
Employer contributions (assets) at beginning of year2011-10-31$3,052,705
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$233,329
Contract administrator fees2011-10-31$3,034,680
Liabilities. Value of benefit claims payable at end of year2011-10-31$6,067,819
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$7,322,905
Assets. Value of buildings and other operty used in plan operation at end of year2011-10-31$217,526
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-10-31$227,319
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31SHULMAN, KURTZ, TURER & TOPAZ, LLC
Accountancy firm EIN2011-10-31210738076

Form 5500 Responses for UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND

2021: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2021 form 5500 responses
2021-11-01Type of plan entityMulti-employer plan
2021-11-01Plan is a collectively bargained planYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2020 form 5500 responses
2020-11-01Type of plan entityMulti-employer plan
2020-11-01Plan is a collectively bargained planYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2019 form 5500 responses
2019-11-01Type of plan entityMulti-employer plan
2019-11-01Plan is a collectively bargained planYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2018 form 5500 responses
2018-11-01Type of plan entityMulti-employer plan
2018-11-01Plan is a collectively bargained planYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2017 form 5500 responses
2017-11-01Type of plan entityMulti-employer plan
2017-11-01Plan is a collectively bargained planYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2016 form 5500 responses
2016-11-01Type of plan entityMulti-employer plan
2016-11-01Plan is a collectively bargained planYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2015 form 5500 responses
2015-11-01Type of plan entityMulti-employer plan
2015-11-01Submission has been amendedYes
2015-11-01Plan is a collectively bargained planYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2014 form 5500 responses
2014-11-01Type of plan entityMulti-employer plan
2014-11-01Plan is a collectively bargained planYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2013 form 5500 responses
2013-11-01Type of plan entityMulti-employer plan
2013-11-01Plan is a collectively bargained planYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2012 form 5500 responses
2012-11-01Type of plan entityMulti-employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2011 form 5500 responses
2011-11-01Type of plan entityMulti-employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2010: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2010 form 5500 responses
2010-11-01Type of plan entityMulti-employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planYes
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement – InsuranceYes
2010-11-01Plan benefit arrangement - TrustYes
2009: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2009 form 5500 responses
2009-11-01Type of plan entityMulti-employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: UFCW UNIONS & PARTICIPATING EMPLOYERS HEALTH & WELFARE FUND 2008 form 5500 responses
2008-11-01Type of plan entityMulti-employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0122-VU
Policy instance 5
Insurance contract or identification numberGL-0122-VU
Number of Individuals Covered5000
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $579,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number373637
Policy instance 4
Insurance contract or identification number373637
Number of Individuals Covered121
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberAG080036
Policy instance 3
Insurance contract or identification numberAG080036
Number of Individuals Covered2500
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1685
Policy instance 2
Insurance contract or identification number1685
Number of Individuals Covered3309
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number26NJ02
Policy instance 1
Insurance contract or identification number26NJ02
Number of Individuals Covered2142
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C75
Policy instance 1
Insurance contract or identification number260C75
Number of Individuals Covered2142
Insurance policy start date2020-11-01
Insurance policy end date2020-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $120,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1685
Policy instance 2
Insurance contract or identification number1685
Number of Individuals Covered3413
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberAG080036
Policy instance 3
Insurance contract or identification numberAG080036
Number of Individuals Covered2500
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number151595
Policy instance 4
Insurance contract or identification number151595
Number of Individuals Covered1201
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $54,616
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $588,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,616
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0122-VU
Policy instance 5
Insurance contract or identification numberGL-0122-VU
Number of Individuals Covered5000
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $735,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DOMINIONNATIONAL DENTAL (National Association of Insurance Commissioners NAIC id number: 95657 )
Policy contract number151595
Policy instance 6
Insurance contract or identification number151595
Number of Individuals Covered78
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $62,768
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $340,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $52,307
Insurance broker organization code?3
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract numberDM09082001
Policy instance 5
Insurance contract or identification numberDM09082001
Number of Individuals Covered275
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $4,240
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,240
Insurance broker organization code?3
INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberAG080036
Policy instance 4
Insurance contract or identification numberAG080036
Number of Individuals Covered2500
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1685
Policy instance 3
Insurance contract or identification number1685
Number of Individuals Covered3749
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404806 0010
Policy instance 2
Insurance contract or identification number404806 0010
Number of Individuals Covered1730
Insurance policy start date2019-11-01
Insurance policy end date2020-06-30
Welfare Benefit Premiums Paid to CarrierUSD $531,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C75
Policy instance 1
Insurance contract or identification number260C75
Number of Individuals Covered4852
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $230,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404806 0010
Policy instance 2
Insurance contract or identification number404806 0010
Number of Individuals Covered1777
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Welfare Benefit Premiums Paid to CarrierUSD $848,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C75
Policy instance 1
Insurance contract or identification number260C75
Number of Individuals Covered4872
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $236,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1685
Policy instance 3
Insurance contract or identification number1685
Number of Individuals Covered3885
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number085672
Policy instance 4
Insurance contract or identification number085672
Number of Individuals Covered2500
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANTICA ADMINISTRATIVE SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number14010901
Policy instance 5
Insurance contract or identification number14010901
Number of Individuals Covered173
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $5,650
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,650
Insurance broker organization code?3
GROUP DENTAL SERVICE OF MARYLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95846 )
Policy contract number01GDS01
Policy instance 6
Insurance contract or identification number01GDS01
Number of Individuals Covered3340
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GROUP DENTAL SERVICE OF MARYLAND, INC. (National Association of Insurance Commissioners NAIC id number: 95846 )
Policy contract number01GDS01
Policy instance 6
Insurance contract or identification number01GDS01
Number of Individuals Covered3340
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANTICA ADMINISTRATIVE SERVICES (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number14010901
Policy instance 5
Insurance contract or identification number14010901
Number of Individuals Covered160
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $6,039
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1685
Policy instance 3
Insurance contract or identification number1685
Number of Individuals Covered4012
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE ADMINISTRATORS (National Association of Insurance Commissioners NAIC id number: )
Policy contract number085672
Policy instance 4
Insurance contract or identification number085672
Number of Individuals Covered2500
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404806 0010
Policy instance 2
Insurance contract or identification number404806 0010
Number of Individuals Covered1764
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Welfare Benefit Premiums Paid to CarrierUSD $775,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMALGAMATED LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 60216 )
Policy contract number260C75
Policy instance 1
Insurance contract or identification number260C75
Number of Individuals Covered5000
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $236,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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